A 3-Year Survival Rate of Kidney Transplant Recipient in Cipto Mangunkusumo General Hospital in Indonesia

Background: Kidney transplant has been developing rapidly in Indonesia in recent years. Cipto Mangunkusumo General Hospital (CMGH) has performed 491 transplants in the last 6 years. The survival of graft and patient in CMGH in the first year was 95.4% and 88.5%. However, there was no data on survival in the next following years. This study was aimed to establish the 3-year survival of graft and patient of kidney transplant in CMGH.

Methods and findings: Descriptive study with retrospective cohort design on all kidney transplant patients at CMGH from January 2011 to May 2014. Each patient was observed from the date of transplantation until death or May 2017. Graft and patient survival rate within 3 years and at the end of the study were documented. The Kaplan-Meier method was used to describe graft and patient survival. 138 of 147 kidney transplant recipients were included. All patients receive kidneys from living donors. The mean age was 47.94 + 14.06 years old. The 3-year death-censored graft survival, all-cause graft survival and patient survival were 90.6%, 76.1% and 79.7%, in sequence. At the end of the study, these survival rates were lower (89.1%, 71.7%, and 76.1%). The median of observation time was 42 months (36-72 months). Kaplan-Meier's curve showed the highest mortality rates occurred in the early months. Infection was the main cause of death.

Conclusion: The 3-year graft and patient survival in CMGH 90.6% and 79.7%. Infection is the major factor that affects the survival rates.

Author(s): Maruhum Bonar H. Marbun*, Vidhia Umami, and Endang Susalit

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